Provider Demographics
NPI:1326223694
Name:OLSON, MELISSA JOYCE (DC)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:JOYCE
Last Name:OLSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 SE ORALABOR RD
Mailing Address - Street 2:SUITE 121
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-4009
Mailing Address - Country:US
Mailing Address - Phone:515-964-9966
Mailing Address - Fax:515-964-2012
Practice Address - Street 1:802 SE ORALABOR RD
Practice Address - Street 2:SUITE 121
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-4009
Practice Address - Country:US
Practice Address - Phone:515-964-9966
Practice Address - Fax:515-964-2012
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007038111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor